■这项纵向研究的目的是减少静脉穿刺过程中胃肠道慢性疾病儿童的焦虑和疼痛。这些儿童接受定期静脉穿刺作为其医疗管理的一部分,该过程通常伴有焦虑和疼痛。此外,儿童以及他们的父母和医疗保健专业人员(HCPs)经常遭受“同情痛苦”,因为情感干扰。
■在现实的临床环境中,研究了不同的心理和医学干预措施:(1)心理教育手册和(2)静脉穿刺期间四种不同的医学技术干预措施.在德国的一家大医院里,169名儿童他们的父母,并要求HCP在干预前后对静脉穿刺过程中的焦虑和疼痛进行评分。
■儿童明显偏爱某些医疗技术干预措施。使用线性混合模型,儿童自己评估的焦虑和疼痛没有显着减少。然而,父母和HCPs报告显着减少。年龄,性别,在大多数分析中,肝移植的状态与焦虑和疼痛的减轻有关。
■心理教育手册和医疗技术干预对焦虑和疼痛都有积极的影响。然而,医学技术干预措施的有效性低于以前使用个体干预措施的研究。讨论了这种差异的原因以及改善干预措施的可能性。此外,本研究提供了在儿科单位实施干预措施的实际日常信息,例如何时以及如何提供心理教育材料.
UNASSIGNED: The goal of this longitudinal study was to reduce anxiety and pain in children with chronic conditions from the gastrointestinal tract during venipuncture. These children undergo regular venipuncture as part of their medical management and the procedure is often accompanied with anxiety and pain. In addition, children as well as their parents and health care professionals (HCPs) often suffer \"compassionate pain\" because of emotional interference.
UNASSIGNED: In a realistic clinical setting, different psychological and medical interventions were examined: (1) Psychoeducational brochures and (2) four different medical-technical interventions during venipuncture. In a large hospital in Germany, 169 children, their parents, and HCPs were asked to rate anxiety and pain during venipuncture before and after the intervention.
UNASSIGNED: Children showed a clear preference for some of the medical-technical interventions. Using Linear Mixed Models anxiety and pain rated by the children themselves showed no significant reduction. However, parents and HCPs reported a significant reduction. Age, gender, and status of liver transplantation were associated with a reduction in anxiety and pain in most of the analyses.
UNASSIGNED: Both psychoeducational brochures and medical-technical interventions had a positive impact on anxiety and pain. However, effectivity for the medical-technical interventions was lower than in previous studies utilizing individual interventions. Reasons for this difference as well as possibilities to improve the intervention are discussed. In addition, this study provides practical day-to-day information about the implementation of interventions for the work in pediatric units such as when and how to provide psychoeducational materials.